Agon Turkaj

[Internal Medicine @pgMedicine]

Metabolic syndrome is diagnosed when any 3 of 5 criteria are present. Early recognition helps guide targeted risk-factor management and cardiovascular risk assessment.

[Dr RP Singh, MD @rpsingh1894]

💉 Right dose. Right site. Right rotation.

Better injection technique = Better glycemic control.

A simple habit can prevent lipohypertrophy and improve insulin absorption.

Every healthcare professional should teach this. 🩺

#Diabetes #Insulin #FOAMed #MedTwitter

[Updates in Medicine @medic_updates]

When upper GI bleeding meets antithrombotic therapy, knowing what to stop—and when to restart—can change outcomes.

[Internal Medicine @pgMedicine]

Types of Gastritis: A Practical Clinical Classification

[Dr sthanu subramanian @drsthanus]

This table summarizes NICE recommendations for using SGLT2 inhibitors (Empagliflozin, Dapagliflozin, Canagliflozin, Ertugliflozin) for type 2 diabetes management.

https://t.co/leOBekr5J6

[Internal Medicine @pgMedicine]

Tumor Lysis Syndrome: Key Laboratory Findings

[Internal Medicine @pgMedicine]

Jaundice in Adults: A Clinical Approach to Diagnosis

[Keith Siau @drkeithsiau]

PPIs: When to start and how to stop 💡

[Internal Medicine @pgMedicine]

ABG Numbers Made Easy: The 45 Rule for Beginners

[kos_data @kos_data]

🇽🇰 Prishtina court has sentenced an Albanian former ISIS member to six years in prison for spying for Serbia.

The person was receiving 700 euros a month from Serbia's Intelligence Service (BIA) to gather information on the number of ISIS members, illegal mosques and other matters related to extremist Islam in Kosovo.

[Updates in Medicine @medic_updates]

Anticoagulation Reversal in 2026: What Every Clinician Should Know.

[Sociedad Española de Patología Digestiva (SEPD) @sepdigestiva]

✅ Quistes de colédoco
Fuente: ApexLabGIEducation
#sepd2026

[Modern Health @modernHealthMe]

A 26 year old woman has frothy yellow green vaginal discharge with itching. On exam, cervix shows a “strawberry” appearance.

Most likely diagnosis?

A. Candidiasis
B. Bacterial vaginosis
C. Trichomoniasis
D. Chlamydia infection

[MedicoNotes @MedicoNotes]

💡 5 ELECTROLYTE EMERGENCIES YOU MUST NEVER MISS

⸻

1️⃣ Hyperkalemia (↑ K⁺)

➊ Clinical Features
• Muscle weakness
• Palpitations
• Life-threatening arrhythmias

➋ ECG Changes
• Peaked T waves
• PR prolongation
• Wide QRS
• Sine-wave pattern (pre-terminal)

➌ Emergency Treatment
• IV Calcium Gluconate → Stabilize myocardium
• Insulin + Dextrose → Shift K⁺ intracellularly
• Salbutamol
• Dialysis if severe

💎 Pearl:
Calcium protects the heart but does NOT lower potassium.

⸻

2️⃣ Hypokalemia (↓ K⁺)

➊ Causes
• Vomiting
• Diarrhea
• Loop/Thiazide diuretics
• Insulin excess

➋ ECG Changes
• Flattened T waves
• Prominent U waves

➌ Treatment
• Oral or IV potassium replacement

💎 Pearl:
Refractory hypokalemia? Always check magnesium.

⸻

3️⃣ Severe Hyponatremia (↓ Na⁺)

➊ Clinical Features
• Confusion
• Seizures
• Coma

➋ Causes
• SIADH
• Excess water intake
• Heart failure
• Cirrhosis

➌ Emergency Treatment
• 3% Hypertonic Saline for severe symptoms

⚠️ Critical Pearl:
Correct slowly to avoid Osmotic Demyelination Syndrome (ODS).

⸻

4️⃣ Hypercalcemia Crisis (↑ Ca²⁺)

➊ Classic Presentation
🦴 Bones
🪨 Stones
🤢 Groans
🧠 Psychiatric overtones

➋ ECG Changes
• Short QT interval

➌ Treatment
• IV Normal Saline
• Calcitonin
• Bisphosphonates
• Dialysis if severe

💎 Pearl:
The two most common causes are:
• Primary Hyperparathyroidism
• Malignancy

⸻

5️⃣ Hypocalcemia & Hypomagnesemia

➊ Clinical Features
• Tetany
• Seizures
• Perioral numbness
• Chvostek sign
• Trousseau sign

➋ ECG Changes
• Long QT interval
• Torsades de Pointes (low Mg²⁺)

➌ Treatment
• IV Calcium Gluconate
• IV Magnesium Sulfate for torsades

💎 Pearl:
Alcohol misuse + low K⁺ + low Ca²⁺ = Check magnesium immediately.

⸻

⸻

📚 Master electrolyte disorders, acid-base balance, renal physiology, and emergency medicine with our comprehensive Nephrology Book.

🌐 Visit: https://t.co/2UQyCbb6in

#Nephrology #Electrolytes #Hyperkalemia #Hyponatremia #usmleprep

[Sociedad Española de Patología Digestiva (SEPD) @sepdigestiva]

Abdominal pain #MedEd #MedX

#sepd2026

[Internal Medicine @pgMedicine]

ALL, AML, CML and CLL

[شادي عدنان - Chadi adnan @chadi20307]

@DrMedica_13 Folic Acid is B9
Pyridoxine is B6
Cobalamin is B12
Niacin is B3

[Ahmed El Askary @a_elaskary81]

Coagulation Tests & Disease Interpretation

[Internal Medicine @pgMedicine]

A guide to differentiating osteoporosis, osteomalacia, Paget disease, myeloma, metastasis, parathyroid disorders and CKD using routine biochemical markers.

[Internal Medicine @pgMedicine]

High-yield named syndromes / phenotypes of sarcoidosis